National Provider Identifier [NPI]: |
1831484831 |
Last Name Of The Provider |
HENDLEY |
First Name Of The Provider |
KATIE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3506 21ST ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794101212 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
12416 |
Number Of Medicare Beneficiaries |
619 |
Total Submitted Charge Amount |
412918.96 |
Total Medicare Allowed Amount |
209635.68 |
Total Medicare Payment Amount |
151464.13 |
Total Medicare Standardized Payment Amount |
158318.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
11050 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
132600 |
Total Drug Medicare AllowedAmount |
60626.44 |
Total Drug Medicare PaymentAmount |
47374.83 |
Total Drug Medicare Standardized Payment Amount |
47374.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1366 |
Number Of Medicare Beneficiaries With Medical Services |
619 |
Total Medical Submitted Charge Amount |
280318.96 |
Total Medical Medicare Allowed Amount |
149009.24 |
Total Medical Medicare Payment Amount |
104089.3 |
Total Medical Medicare Standardized Payment Amount |
110943.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
508 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
524 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.6496 |